CH9: Formulas that Calm the Spirit Flashcards
Formulas that Calm the Spirit categories?
- 1 Formulas that Tranquilize the Mind
- 2 Formulas that Nourish Heart, Calm Mind
9.1 Formulas that Tranquilize the Mind?
Zhu Sha An Shen Wan (Cinnabar Pill to Calm the Spirit)
9.2 Formulas that Nouish Heart, Calm the Mind?
- Tiang Wang Bu Xin Dan*** (Emperor of Heavens Special Pill to Tonify the Heart)
- Suan Zao Ren Tang** (Sour Jujube Decoction)
- Gan Mai Da Zao Tang ** (Licorice, Wheat, Jujube Decoction)
Zhu Sha An Shen Wan precautions?
Iti s forbidden to use Zhu Sha nowadays due to the content of mercury! Can replace with Long Gu, Mu Li, Hu Po, Zhen Zhu Mu.
May choose to use this first in a condition of Heart Fire however you can only use it for a short time because of toxicity. You can use Tian Wang Bu Xin Dan for chronic cases.
Zhu Sha An Shen Wan (Cinnabar Pill to Calm the Spirit)
ingredients?
- Zhu Sha - Cinnabar (15g) Shen Calming
- Huang Lian - Coptis rhizome, Goldthread (18g) Clear Heat, Purge Fire
- Zhi Gan Cao - baked Licorice root (16g) Tonify Qi
- Sheng Di Huang - Rehmannia root (8g) Clear Heat, Purge Fire
- Dang Gui - Angelica root (8g) Tonify Blood
What could we replace Zhu Sha with to make this formula safe?
- Long Gu (Dragon Bone) Calm the Spirit
- Mu Li (Oyster Shell) Calm the Spirit
- Hu Po (Amber) Calm the Spirit
- Zhen Zhu Mu (Mother of Pearl Shell) Calm the Spirit
What are the functions of Zhu Sha An Shen Wan?
- Tranquilize the Heart Spirit
- Clear Heart
- Purge Fire
Zhu Sha An Shen Wan
indications?
Heart Fire Hyperactivity with
Yin and Blood Deficiency
- Heart Disturbance
- Insomnia
- Palpitations
- Profuse dreams
- Tongue: red body
- Pulse: thin and rapid (deficient heat)
Mixed Case, some excesse and deficiency but main problem is excessive Heart Fire
Tian Wang meaning?
Bu Xin meaning?
Tian Wang - given by god from heaven
Bu Xin - tonify heart
Tian Wang Bu Xin Dan
ingredients?
- Sheng Di Huang - Rehmannia root (120g) Clear Heat, Purge Fire
- Tian Men Dong - Asparagus tuber (30g) Tonify Yin
- Mai Men Dong - Ophiopogon, Creeping Lily (30g) Tonify Yin
- Suan Zao Ren - Sour Jujube seeds (30g) Calm the Spirit
- Ba Zi Ren - Arborvitae, Biota seed (30g) Calm the Spirit
- Dang Gui - Angelica Root (30g) Tonify Blood
- Ren Shen - Ginseng Root (15g) Tonify Qi
- Wu Wei Zi - Schisandra fruit (30g) Stabilize and Bind
- Fu Shen - Poria (15g) Drain Dampness (Diuretic)
- Yuan Zhi - Polygala root (15g) Calm the Spirit
- Xuan Shen - Scrophularia root (15g) Clear Heat, Purge Fire
- Dan Shen - Red Sage root, Salvia (15g) Invigorate Blood
- Jie Geng - Balloon Flower root (15g) Drain Dampness
Tian Wang Bu Xin Dan
functions?
Nourish Yin
Replenish blood
Tonify Heart to Calm the Mind
Tian Wang Bu Xin Dan
indications? (syndromes, sn and sx)
Yin Deficiency of Heart
Disharmony of Heart and Kidney
- Constipation
- Insomnia
- Lassitude
- Palpitations
- Poor memory
- Restlessness
- Seminal emission
- Sores in mouth/tongue
- Tongue: Red body, scanty coating
- Pulse: thready, rapid
TWBXD Mx, Px
Restlessness, insomnia, palpitations?
Yin deficiency with excessive yang that disturbs the mind
TWBXD Mx, Px
seminal emission?
ministerial fire disturbing the essence (spermatic) chamber
TWBXD Mx, Px
poor memory?
Blood not nourishing the brain
TWBXD Mx, Px
Constipation?
Yin and fluid does not nourish the large intestines
TWBXD Mx, Px
Sores in mouth/tongue?
Deficiency fire flaming upward
TWBXD Mx, Px
Red tongue with scanty coating, thready rapid pulse?
Yin deficiency and empty fire
TWBXD Chief herb and actions?
Chief
Sheng Di Huang: Nourish Yin and blood
TWBXD Deputy herbs and actions?
Tian Men Dong, Mai Men Dong, Suan Zao Ren, Bai Zi Ren, Dang Gui
Tonify blood and yin
Clear heat
Nourish Heart and calm mind
TWBXD Ren Shen actions?
Assistant
Tonify Qi
TWBXD actions for Wu Wei Zi, Fu Shen, Yuan Zhi?
Nourish heart
Calm mind
TWBXD Xuan Shen actions?
Assistant
Nourish Yin
Descend Fire
TWBXD Dan Shen actions?
Assistant
Clear heat from Heart
Move Blood
TWBXD Jie Geng actions?
Envoy
Ascend herbs
TWBXD
What is special about Suan Zao Ren (Sour Jujube seeds) and Bai Zi Ren (Biota seeds)?
This is a commonly used combination to treat insomnia caused by some deficiency. They can tonify, nourish and calm the mind.
TWBXD
What is helpful about having Dan Shen in this formula?
Allows for tonification without stagnation as Dan Shen invigorates blood.
Tian Wang Bu Xin Dan characteristics of combination?
Nourish ___, tonify ____ to treat the _____.
Nourish _____, calm the mind to treat the _____.
Nourish Yin, tonify blood to treat the root.
Nourish heart, calm the mind to treat the branch.
This formula treats both heart and kdiney at the same time, but more so the heart.
What are the key symptoms in selection of TWBXD?
Insomnia, palpitations, red tongue, scanty coat, thready and rapid pulse
Suan Zao Ren Tang - Sour Jujube Decoction ingredients?
(** formula, don’t have to memorize)
- Suan Zao Ren - Sour Jujube Seeds (15g) Calm the Spirit
- Fu Shen - Poria (6g) Drain dampness
- Zhi Mu - Anemorhena (6g) Clear Heat, Drain Fire
- Chuan Xiong - Lovage root (6g) Regulate Blood
- Gan Cao - Licorice root (3g) Tonify Qi
Suan Zao Ren Tang
functions?
Nourish heart, calm the mind
Clear heat, relieve irritability
Suan Zao Ren Tang
indications?
Deficiency of Liver Blood marked by irritability, insomnia, dizziness and wiry thin pulse.
What are the similarities of Tian Wang Bu Xin Dan and Suan Zao Ren Tang?
Both nourish yin and tonify blood, nourish heart and calm mind.
Both treat irritability and insomnia due to deficiency of yin-blood with deficiency heat.
Differences between TWBXD and SZRT?
TWBXD
Heavy dose of Sheng Di, doses of Mai Dong and Tian Dong all to nourish yin and clear heat. Treats yin and blood deficiency of Heart and Kidney marked by irritability, insomnia, five centre heat, red tongue scanty coat, rapid thin pulse.
SZRT
Heavy dose of Suan Zao Ren to nourish blood and calm mind. Chuan Xiong to activate blood and soothe Liver Qi. Deficiency of Liver Blood makred by irritability, insomnia, dizziness and wiry thin pulse.
Gan Mai Da Zao Tang ** (Licorice, wheat and jujube decoction)
ingredients?
- Xiao Mai - Wheat (15g) Stabilize and Bind
- Gan Cao - Licorice (9g) Tonify Qi
- Da Zao - Jujube (15pc) Tonify Qi
Gan Mai Da Zao Tang
functions?
Nourish heart, calm the mind
Harmonize the middle
Stabilize the spirit
Gan Mai Da Zao Tang
indications?
Zang Zao - restlessness of Zang organ
- Abnormal speech/behaviour - Yin/blood not nourishing heart to hold the mind
- Absent minded - Heart and Liver Yin and Blood Deficiency
- Cries easily - “
- Disturbed sleep - Yin and Blood not nourishing heart
- Restlessness - Liver Qi Stagnation
- Yawns frequently - Liver Qi Stagnation, Qi Movement disorder